Hospitals are hectic, busy places, where it can be difficult to manage all aspects of operations thoroughly. This is particularly true of vendor relationships. In order to achieve optimal performance, vendors need to be held accountable for their results – for the sake of both their contractual obligations and the welfare of patients.
Cody brings 22 years of experience in healthcare and revenue cycle, with specific expertise in Patient Access, Revenue Integrity and Patient Accounting for hospitals and physician practices. He joins TPC from PricewaterhouseCoopers where he served community-based and investor-owned hospital clients all over the United States. Cody’s proven track record of using of data-driven analytics and established industry benchmarks, along with his ability to collaborate across all functions of the revenue cycle, has enabled him to successfully achieve strategic revenue cycle goals in a wide range of circumstances.
While the process of managing a patient’s health can be complicated, so too is the process of managing that patient’s account. Healthcare revenue cycle management is a broad area that can be complex, especially for small and independent healthcare facilities with limited resources. However, by focusing on key metrics, TPC hospitals can compare themselves to other Members, identify areas for improvement, and measure progress objectively.
Billing and collection in the healthcare system is highly complex. Authorizations need to be received, benefits are often restricted, many services are subject to deductibles, and in-network versus out-of-network coverage must be monitored. Even after payment is received, there are new challenges. Employees must record these transactions within systems, tracking payments, denials, balance transfers, and adjustments.